<!DOCTYPE html>
<html>
  <head>
    <meta charset="utf-8">
    <title><%= title %></title>
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <meta name="description" content="">
    <meta name="author" content="">
    <link href="https://cdn.bootcss.com/bootstrap/3.3.5/css/bootstrap.min.css" rel="stylesheet">
    <link href="https://cdn.bootcss.com/bootstrap/3.3.5/css/bootstrap-theme.min.css" rel="stylesheet">
    <link href="https://cdn.bootcss.com/font-awesome/4.7.0/css/font-awesome.min.css" rel="stylesheet">
    <script src="https://cdn.bootcss.com/jquery/2.2.1/jquery.min.js" type="text/javascript"></script>
    <script src="https://cdn.bootcss.com/bootstrap/3.3.5/js/bootstrap.min.js"></script>

<style>
@import url(http://fonts.googleapis.com/css?family=Lato:300,400,700);
body {
  background-color: #e6e6e6;
  /*font-size: 100%;
  font-family: 'Lato', sans-serif;*/
  /*font-weight: 400;*/
  /*background: url("https://images.unsplash.com/photo-1464553186862-680edae5b2bc?dpr=2&auto=compress,format&fit=crop&w=991&h=656&q=80&cs=tinysrgb&crop=&bg=");*/
  font-family: "Helvetica Neue",Helvetica,Arial,sans-serif;
  background-size: cover;
  padding: 0;
  margin: 0;
  font-size: 14px;
}
.containers {
    padding-right: 15px;
    padding-left: 15px;
    margin-right: auto;
    margin-left: auto;
    max-width: 510px;
    min-width: 324px;
    margin: 50px auto 0px;
    background-color: #fff;
    border: 1px solid #cfcfcf;
    border-bottom: 3px solid #ccc;
}
div, textarea, input {
  -moz-box-sizing: border-box;
  -webkit-box-sizing: border-box;
  box-sizing: border-box;
}


.row.header {
  padding: 1.5em 2.5em;
  border-bottom: 1px solid #ccc;
  background: url(http://img.hb.aicdn.com/622b25176a78b3860b4af01d4b41ec4da2ae02b58ae19-PieuXB_fw658) left -80px;
  color: #fff;
}
.row.body {
  padding: .5em 2.5em 1em;
}

.pull-right {
  float: right;
}

h1 {
  color: #4f6fad;
  font-family: 'Lato', sans-serif;
  font-weight: 300;
  display: inline-block;
  font-weight: 100;
  font-size: 2.8125em;
  border-bottom: 1px solid rgba(255, 255, 255, 0.3);
  margin: 0 0 0.1em 0;
  padding: 0 0 0.4em 0;
}

h3 {
  font-family: 'Lato', sans-serif;
  font-weight: 400;
  font-size: 1.25em;
  margin: 1em 0 0.4em 0;
}

.btn {
  font-size: 1.0625em;
  display: inline-block;
  padding: 0.74em 1.5em;
  margin: 1.5em 0 0;
  color: #fff;
  border-width: 0 0 0 0;
  border-bottom: 5px solid;
  text-transform: uppercase;
  background-color: #b3b3b3;
  border-bottom-color: #8c8c8c;
  font-family: 'Lato', sans-serif;
  font-weight: 300;
}
.btn:hover {
  background-color: #bfbfbf;
}
.btn.btn-submit {
  background-color: #4f6fad;
  border-bottom-color: #374d78;
}
.btn.btn-submit:hover {
  background-color: #5f7db6;
}

form {
  max-width: 100%;
  display: block;
}
form ul {
  margin: 0;
  padding: 0;
  list-style: none;
}
form ul li {
  margin: 0 0 0.25em 0;
  clear: both;
  display: inline-block;
  width: 100%;
}
form ul li:last-child {
  margin: 0;
}
form ul li p {
  margin: 0;
  padding: 0;
  float: left;
}
form ul li p.right {
  float: right;
}
form ul li .divider {
  margin: 0.5em 0 0.5em 0;
  border: 0;
  height: 1px;
  width: 100%;
  display: block;
  background-color: #4f6fad;
  background-image: linear-gradient(to right, #ee9cb4, #4f6fad);
}
form ul li .req {
  color: #ee9cb4;
}
form label {
  display: block;
  margin: 0 0 0.5em 0;
  color: #4f6fad;
  font-size: 1em;
}
form input {
  margin: 0 0 0.5em 0;
  border: 1px solid #ccc;
  padding: 6px 10px;
  color: #555;
  font-size: 1em;
}
form textarea {
  border: 1px solid #ccc;
  padding: 6px 10px;
  width: 100%;
  color: #555;
}
form small {
  color: #4f6fad;
  margin: 0 0 0 0.5em;
}

@media only screen and (max-width: 480px) {
  .pull-right {
    float: none;
  }

  input {
    width: 100%;
  }

  label {
    width: 100%;
    display: inline-block;
    float: left;
    clear: both;
  }

  li, p {
    width: 100%;
  }

  input.btn {
    margin: 1.5em 0 0.5em;
  }

  h1 {
    font-size: 2.25em;
  }

  h3 {
    font-size: 1.125em;
  }

  li small {
    display: none;
  }
}
</style>

    </head>
    <body>

